Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark David Rostash

Individual provider Acute Care Nurse Practitioner · NPI 1780222158

Mark David Rostash is a Nurse Practitioner in Honolulu, Hawaii. Qualified in 2019, 7 years ago. Practices with Queens University Medical Group, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Hawaii.

Years since qualifying
7
Licensed in
AZ, HI
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone: (808) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5301 E Grant Rd, Tucson, AZ 85712-2805 — (520) 324-5461

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-3542 (HI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 235645 (AZ)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 235645 (AZ)

Record details

NPI number1780222158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address1301 Punchbowl St, Honolulu, HI 96813-2499

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Honolulu